| NPI | 1023716305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJANA SOFRONIJOSKA RECE Owner 702-635-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-10-23 |